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Cervical neck dissection without drainage in papillary thyroid carcinoma

Published online by Cambridge University Press:  04 February 2013

B Abboud ,
J Tannoury ,
G Sleilaty ,
R Daher ,
G Abadjian  and
C Ghorra
B Abboud*
Affiliation:
Department of General Surgery, Hotel Dieu de France Hospital, Faculty of Medicine, Saint-Joseph University, Beirut, Lebanon
J Tannoury
Affiliation:
Department of General Surgery, Hotel Dieu de France Hospital, Faculty of Medicine, Saint-Joseph University, Beirut, Lebanon
G Sleilaty
Affiliation:
Department of General Surgery, Hotel Dieu de France Hospital, Faculty of Medicine, Saint-Joseph University, Beirut, Lebanon
R Daher
Affiliation:
Department of General Surgery, Hotel Dieu de France Hospital, Faculty of Medicine, Saint-Joseph University, Beirut, Lebanon
G Abadjian
Affiliation:
Department of Pathology, Hotel Dieu de France Hospital, Faculty of Medicine, Saint-Joseph University, Beirut, Lebanon
C Ghorra
Affiliation:
Department of Pathology, Hotel Dieu de France Hospital, Faculty of Medicine, Saint-Joseph University, Beirut, Lebanon
*
Address for correspondence: Dr Bassam Abboud, Department of General Surgery, Hotel Dieu de France Hospital, Alfred Naccache St, Beirut, Lebanon Fax: +961 1 615295 E-mail: dbabboud@yahoo.fr
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Abstract

Objective:

To review the safety of thyroidectomy combined with cervical neck dissection without drainage, in patients with papillary thyroid carcinoma.

Materials and methods:

Two groups were defined depending on whether cervical neck dissection was or was not performed (groups one and two, respectively).

Results:

Group one included 153 patients with central neck dissection and 52 patients with central and lateral neck dissection. Group two included 121 patients. Post-operative drainage was not used in either group. Overall, 17 patients (5 per cent) developed post-operative haematoma and/or seroma: 12 patients (6 per cent) in group one and 5 patients (4 per cent) in group two. There were no major bleeding episodes; only minor bleeding or seroma was encountered, not requiring surgical intervention. Overall, 91 per cent of patients had a post-operative stay of 1 day. The number of peri-operative local complications and length of stay did not differ significantly between the two groups.

Conclusion:

Thyroidectomy plus cervical neck dissection without drainage is safe and effective in the treatment of papillary thyroid carcinoma.

Keywords

Neck DissectionThyroid CancerPapillaryDrainageSuctionHematomaSeroma

Information

Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 127 , Issue 3 , March 2013 , pp. 299 - 302
Copyright
Copyright © JLO (1984) Limited 2013

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